Work Readiness Assessment Form - 2017
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3WORK READINESS ASSESSMENT FORM
Name of Client:
Name of VR Counselor:
Job Site Location:
Date of Assessment:
Job Site Contact Person and Telephone Number:
What tasks were performed at this job site?
How long did the individual work at the job site assessment?
What, if any, barriers, physical or cognitive, affected the individual’s ability to perform
the job tasks for the duration of the assessment?
How much Job coaching will this individual need to perform these job tasks?
BEHAVIORAL OBSERVATIONS IN WORK READINESS ASSESSMENT
BEHAVIORAL AREA
RATE EACH AREA and PROVIDE COMMENTS TO
SUPPORT THE RATING.
Scale: 1-unacceptable; 2-fair (needs improvement); 3-
average; 4-above average; 5-excellent (no improvement
needed)
Work Readiness Assessment – effective July 2017
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Parent category: Business